Supplementum 3+4/2007 - Společnost pro pojivové tkáně

Since 28 years we introduced new
easy and effective conservative method.
Studying the Wolffe-Delpeche law (Polish
orthopaedic literature) or Heuter-Volkmann
law (English orthopaedic literature) we
noticed that if we minimize all the cited
above causes we will notice with passing
time spontaneous correction of axis of legs
without necessity of operative procedures(!).
Our conservative method: we give
the children high but proper doses of Vit.
D3 – 5–8 (sometimes more) drops per day
(the best Vigantol), we advise total limitation
of child’s walking and standing for
6–8–10 months for every day (carrying on
hands or in wheelchair, playing on floor or
in bed), we advise body weight reduction.
The proper age of child for such treatment
is from 1 st to 2,5–3 years of life. In
some children we advise corrective orthoses
(soft-cast). Older children require
operative procedures as before.
Discussion and Conclusion
The authors conclude that this “non
operative early treatment” is an easy and
effective method of treatment of Morbus
Blount in very young children. In years
1954–1980 we operated 1–3 children per
month, now after introduction of our conservative
method we operate 1–3 children
per year. Our method is an effective protection
against knee insufficiency and gonarthrosis
in adults which is so important in
“Bone and Joint Decade 2000–2010”.
ABSTRACT
GENUA VALGA AND SUBLUXATION
OF PATELLO-FEMORAL
JOINT – CONTRACTURE OF
TRACTUS ILLOTIBIALIS IN
THE DEVOLOPMENT OF THESE
DEFORMITIES. EASY OPERATIVE
PRCEDURE AS A VERY EARLY
PREVENTIVE PROGRAM AGAINST
ARTHROSIS OF PATELLO-FEMORAL
JOINT (NEXT OBSERVATION)
Karski J., Kałakucki J., Karski T., Matuszewski L.
Chair and Department of Pediatric Orthopedics
and Rehabilitation
Medical University of Lublin / Poland
20-093 Lublin, Chodźki 2 Street
tel. /fax 0048 / 81 / 741 56 53
E-mail: tkarski@dsk.lublin.pl
www.ortopedia.karski.lublin.pl
Introduction
The knee joint is not only the biggest
joint of human body, but it is also the most
sensitive joint which gets overstressed or
injured easily. Any pathology of knee joint
in childhood may lead to gonarthrosis and
arthrosis of patello-femoral joint in adulthood.
The habitual and recurrent dislocation
of the patella causes serious insufficiency
of the joint in consequence leading to the
necessity of surgical treatment.
Material
Ten years ago (1997 – T. Karski) we introduced
new operative procedure for genua
valga. In the years 2000–2004 in Chair
and Department of Pediatric Orthopedics
and Rehabilitation of Medical University of
ambul_centrum@volny.cz
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